MEDICARE: ALICIA R CARTER MD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	2081S0010X	Sports Medicine (Physical Medicine & Rehabilitation) Physician	214129	NY
2	2081S0010X	Sports Medicine (Physical Medicine & Rehabilitation) Physician	ME135412	FL

General Provider Information

NPI Number	:	1992712640
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ALICIA R CARTER MD

Provider Business Mailing Address
First Line	:	4779 COLLINS AVE APT 2106
Second Line	:
City	:	MIAMI BEACH
State	:	FL
Zip	:	33140-3255
Country	:	US
Telephone Number	:	201-306-8861
Fax Number	:	305-675-0678

Provider Business Practice Location Address
First Line	:	4770 BISCAYNE BLVD STE 1100
Second Line	:
City	:	MIAMI
State	:	FL
Zip	:	33137-3247
Country	:	US
Telephone Number	:	305-680-3527
Fax Number	:	305-675-0678

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	08/02/2006
Last Update Date	:	09/10/2023

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Directions to “ ALICIA R CARTER MD” Practice Location

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